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General NPI Number Information
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NPI Number | 1679193205
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Entity Type | Organization
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Legal Business Name | SOUND VASCULAR, P.S.
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 32014 32ND AVE S
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City | FEDERAL WAY
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State | WA
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Zip | 98001-9625
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Country | US
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Telephone | 253-874-7107
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Fax |
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Provider Business Mailing Address
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Address Line | 32014 32ND AVE S
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City | FEDERAL WAY
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State | WA
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Zip | 98001-9625
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Country | US
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Telephone | 253-874-7107
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | PETER CAMPBELL GREGORY
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Credential | MD
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Telephone | 206-854-4523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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